Active NPI
Le Sage Surgical LLC
- Physician Assistant
- Oviedo, FL
National Provider Identifier
1609392042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 9103480
- Legal business name
- LE SAGE SURGICAL LLC
- Doing business as
- Le Sage Surgical LLC
- Practice address
- 2600 Dovehill Way
Oviedo, FL 32766-7070 - Phone
- (917) 482-0465
- NPI assigned
- Aug 17, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Herold Lessage, PA-C
- Title
- Owner
- Phone
- (917) 482-0465
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 9103480 | FL | Primary |
Addresses
Primary practice location
2600 Dovehill Way
Oviedo, FL 32766-7070
Mailing address
2600 Dovehill Way
Oviedo, FL 32766-7070
Phone (917) 482-0465
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9103480 | Other | FL | PHYSICIAN ASSISTANT |
Other names 1
- Le Sage Surgical LLC
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Surgical Physician Assistant
- Brooklyn, NY
- NPI 1619926151
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502928000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1609392042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 DOVEHILL WAY",
"city": "OVIEDO",
"state": "FL",
"postal_code": "327667070",
"telephone_number": "917-482-0465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 DOVEHILL WAY",
"city": "OVIEDO",
"state": "FL",
"postal_code": "327667070",
"telephone_number": "917-482-0465"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LE SAGE SURGICAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-17",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "LESSAGE",
"authorized_official_first_name": "HEROLD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "917-482-0465",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PA-C"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "FL",
"license": "9103480",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIAN ASSISTANT",
"identifier": "9103480",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Le Sage Surgical LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Oviedo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.